Todd Gillihan, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901004251 Issued in MI

Practice address

117 S Main St
Ann Arbor, MI 48104-1902

Phone

(734) 665-5306

Fax

(734) 930-2383

NPI assigned

Feb 14, 2007

Last updated

Jun 14, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308009600000",
    "number": "1255474045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 VILLAGE PLACE DR",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481181439",
            "telephone_number": "734-665-5306",
            "fax_number": "734-930-2383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 S MAIN ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481041902",
            "telephone_number": "734-665-5306",
            "fax_number": "734-930-2383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIHAN",
        "first_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2011-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VSP VISION CARE",
            "identifier": "1255474045",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255474045",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bianca Gillenwaters, RN
• Daniel B Gilley, LPN
• Danielle Nicole Gilliam
• Elizabeth Gilliam, MD
• Sasha Gilliam
• Bailey Gillim, PA
• Courtney L Gillis, BCBA
• Margaret E Gillis, MD
• Mary Katherine Gillis, M.S.
• Brooke Gillispie

• Optometrist in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.